The Diversity Benefit

How Does Diversity Among Health Professionals Address Public Needs?
  • Brian D. Smedley


Recent US Census data confirm what many Americans have casually observed: racial and ethnic minorities are the fastest-growing segments of the US population. By mid century, nearly one in two Americans will be an Asian American, Pacific Islander, African American, Hispanic, American Indian, and/or Alaska Native. Since 2000, Hispanics have accounted for 3.5 million or over one-half of the population increase of 6.9 million individuals in the United States. The number of Asian Americans grew at a larger proportion (9%) than any other racial or ethnic group during this same time period. And in at least three states (California, Hawaii, and New Mexico) and the District of Columbia, racial and ethnic “minorities” constitute a majority of the population (1).


Ethnic Minority Minority Student Minority Patient Hispanic Patient Health Profession Education 
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  1. 1.
    U.S. Bureau of the Census, “Hispanic population reaches all-time high of 38.8 million, new Census Bureau estimates show,” available: (accessed September 24, 2003).
  2. 2.
    Smedley, B. D., Stith-Bulter, A., and Bristow, L. (eds.) (2004) Institute of Medicine, In the Nation’s Compelling Interest: Enhancing Diversity in the Health Professions. National Academies Press, Washington, DC.Google Scholar
  3. 3.
    The Sullivan Commission (2004) Missing Persons: Minorities in the Health Professions. A Report of the Sullivan Commission on Diversity in the Healthcare Workforce, (, accessed September 22, 2004).
  4. 4.
    Chen, J., Rathore, S. S., Radford, M. J., Wang, Y., and Krumholz, H. M. (2001) Racial differences in the use of cardiac catherterization after acute myocardial infarction. N. Engl. J. Med. 344(19), 1443–1449.PubMedCrossRefGoogle Scholar
  5. 5.
    Smedley, B. D., Stith, A. Y., and Nelson, A. R. (eds.) (2003) Institute of Medicine, Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care, National Academy Press, Washington, DC.Google Scholar
  6. 6.
    Bach, P. B., Cramer, L. D., Warren, J. L., Berg, C. B. (1999) Racial differences in the treatment of early-stage lung cancer. N. Engl. J. Med. 341(16), 1198–1205.PubMedCrossRefGoogle Scholar
  7. 7.
    Rosenheck, R., Fontana, A., and Cottrol, C. (1995) Effect of clinician-veteran racial pairing in the treatment of posttraumatic stress disorder. Am. J. Psychiatry 152(4), 555–563.PubMedGoogle Scholar
  8. 8.
    Moy, E. and Bartman, A. (1995) Physician race and care of minority and medically indigent patients. J. Am. Med. Assoc. 273(19), 1515–1520.CrossRefGoogle Scholar
  9. 9.
    Cantor, J. C., Miles, E. L., Baker, L. C., and Barker, D. C. (1996) Physician service to the underserved: Implications for Affirmative Action in medical education. Inquiry 33, 167–181.PubMedGoogle Scholar
  10. 10.
    Komaromy, M., Grumbach, K., Drake, M., et al. (1996) The role of Black and Hispanic physicians in providing health care for underserved populations. N. Engl. J. Med. 334(20), 1305–1310.PubMedCrossRefGoogle Scholar
  11. 11.
    Solomon, E. S., Williams, C. R., and Sinkford, J. C. (2001) Practice location characteristics of Black dentists in Texas. J. Dent. Educ. 65(6), 571–574.Google Scholar
  12. 12.
    Mertz, E. A. and Grumbach, K. (2001) Identifying communities with low dentist supply in California. J. Public Health Dent. 61(3), 172–177.PubMedCrossRefGoogle Scholar
  13. 13.
    Saha, S., Komaromy, M., Koepsell, T. D., and Bindman, A. B. (1999) Patient-physician racial concordance and the perceived quality and use of health care. Arch. Intern. Med. 159, 997–1004.PubMedCrossRefGoogle Scholar
  14. 14.
    LaVeist, T. A. and Nuru-Jeter, A. (2002) Is doctor-patient race concordance associated with greater satisfaction with care? J. Health Soc. Behav. 43(3), 296–306.PubMedCrossRefGoogle Scholar
  15. 15.
    Cooper-Patrick, L., Gallo, J. J., Gonzales, J. J., et al. (1999) Race, gender, and partnership in the patient-physician relationship. J. Am. Med. Assoc. 282(6), 583–589.CrossRefGoogle Scholar
  16. 16.
    Perez-Stable, E. J., Napoles-Springer, A., and Miramontes, J. M. (1998) The effects of ethnicity and language on medical outcomes of patients with hypertension or diabetes. Med. Care 35(12), 1212–1219.CrossRefGoogle Scholar
  17. 17.
    Cooper, L. A., Rotes, D. L., Johnson, R. L., Ford, D. E., and Steinwachs, D. M. (2003) Patient-centered communication, ratings, of care, and concordance of patient and physician race. Ann. Intern. Med. 139(11), 907–915.PubMedGoogle Scholar
  18. 18.
    Betancourt, J. R., Green, A. R., and Carrillo, J. E. (2002) Cultural Competence in Health Care: Emerging Frameworks and Practical Approaches. The Commonwealth Fund, New York.Google Scholar
  19. 19.
    Whitla, D. K., Orfield, G., Silen, W., Teperow, C., Howard, C., and Reede, J. (2003) Educational benefits of diversity in medical school: a survey of students. Acad. Med. 78(5), 460–466.PubMedCrossRefGoogle Scholar
  20. 20.
    Gurin, P., Dey, E. L., Hurtado, S., and Gurin, G. (2002) Diversity and higher education: theory and impact on educational outcomes. Harv. Educ. Rev. 72(3), 330–366.Google Scholar
  21. 21.
    Antonio, A. L., Chang, M. J., Hakuta, K., Kenny, D. A., Levin, S., and Milem, J. F. (2004) Effects of racial diversity on complex thinking in college students. Psychol. Sci. 15(8), 507–510.PubMedCrossRefGoogle Scholar
  22. 22.
    Haynes, A. M. and Smedley, B. D. (eds.) (1997) Institute of Medicine, The Unequal Burden of Cancer: An Assessment of NIH Programs and Research on Minorities and the Medically Underserved, National Academy Press, Washington, DC.Google Scholar
  23. 23.
    Institute of Medicine, 1999.Google Scholar
  24. 24.
    Institute of Medicine, 2004.Google Scholar
  25. 25.
    Smedley, B. D., Stith, A. Y., Colburn, L., and Evans, C. H. (2001) The Right Thing to Do, The Smart Thing to Do: Enhancing Diversity in Health Professions. The National Academy Press, Washington, DC.Google Scholar
  26. 26.
    Darling-Hammond, L. (2001) Inequality in teaching and schooling: how opportunity is rationed to students of color in America. in The Right Thing to Do, The Smart Thing to Do: Enhancing Diversity in Health Professions, (Smedley, B. D., Stith, A. Y., Colburn, L., and Evans, C. H. eds.) The National Academy Press, Washington, DC.Google Scholar
  27. 27.
    Nettles, M. T. and Millett, C. M. (2001) Toward diverse student representation and higher achievement in higher levels of the American educational meritocracy. in Smedley, B. D., Stith, A. Y., and Colburn. L.Google Scholar
  28. 28.
    Rainey, M. L. (2001) How do we retain minority health professions students? in Smedley, B. D., Stith, A. Y., and Colburn. L.Google Scholar
  29. 29.
    The Sullivan Commission, 2004.Google Scholar
  30. 30.
    Cantor, J. C., Bergeisen, L., and Baker, L. C. (1998) Effect of an intensive educational program for minority college students and recent graduates on the probability of acceptance to medical school. J. Am. Med. Assoc. 280(9), 772–776.CrossRefGoogle Scholar
  31. 31.
    Edwards, J. C., Elam, C. L., and Wagoner, N. E. (2001) An admission model for medical schools. Acad. Med. 76(12), 1207–1212.PubMedCrossRefGoogle Scholar

Copyright information

© Humana Press Inc. 2007

Authors and Affiliations

  • Brian D. Smedley
    • 1
  1. 1.The Opportunity AgendaWashington, D.C.

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